Pt with syncope --> EKG --> run your typical systematic interpretation --> check for QT-BRIDE. QT-Prolongation Brugada Right Heart Strain Ischemia Delta Wave Epsilon Wave While not comprehensive, this list covers easily missed patterns capable of causing syncope. #CincyAI

Causes of Type B lactic acidosis (...not the Type A, hypoperfusion kind...) include: Diabetes Albuterol & Epinephrine (B-agonism) HIV Malignancy Be sure to consider these in patients with a hyperlactatemia that doesn't otherwise fit the typical shocky/septic picture. #CincyAI

Three physical exam findings can help clue you in to the severity of aortic stenosis before you get the formal echo: - S2 intensity (softer is worse) - Murmur (later is worse) - Pulsus parvus et tardus #CincyAI

In medicine as in life. "Fight for the things that you care about, but do it in a way that will lead others to join you." Ruth Bader Ginsburg (1933-2020)

Bedside ultrasound can be a useful tool in the diagnosis of multiple lung pathologies, including pulmonary edema and pneumonia. Some studies even quote a higher sensitivity than the routine chest X-ray we are used to ordering. #CincyAI jamanetwork.com/journals/jaman…

The painful rash we typically see with VZV reactivation can be accompanied by many complications, including encephalitis, Ramsay Hunt, and herpes ophthalmicus. A helpful clue to consider a systemic VZV infection is rash crossing midline/multiple dermatomes involved. #CincyAI

E-Point Septal Separation (EPSS) can be used as a simple estimation of LV function. Measure from the ventricular septum to the E-point -- the highest point on the E-wave of the anterior mitral leaflet. "Normal" ≤ 8mm. LVEF ≈ 75.5 - (2.5 x EPSS). #CincyAI

Your patient presents to the lobby with a classic ACS story but the initial EKG doesn't show those contiguous ST elevations you're expecting. Below is a useful graph demonstrating the STEMI-equivalent EKG findings. #CincyAI

COVID-19 cases in northwest Syrian displacement camps are ten times higher than just a month ago and 30% of them are health workers. We’re working on both fronts to prevent the rapid spread of the virus and keep regular services running. doctorswithoutborders.org/what-we-do/new…

How important is improving your FoCUS technique? HF sensitivity 43% -> 84% vs Px alone. Aortic and mitral valve pathology 46% -> 71%. The most notable limitation: skill of the operator. pubmed.ncbi.nlm.nih.gov/32707179/

ddxof with another useful algorithm, this time for toxindrome evaluation:

Make Droperidol great again. #strayerisms

This horrific story. The administration stripped these 545 children from their parents and deported most of the parents to Central America. And now they can't find them. My heart is breaking. nbcnews.com/politics/immig…

What a weekend helping out as a volunteer quesadilla flipper, bourbon pourer, and course sweeper at the 2020 #NoBusiness100. Congrats to all who completed their adventure around that epic loop.

"While a psychological emergency in the outdoors may seem less urgent than a physical one, the consequences can be just as devastating." outsideonline.com/2418546/kate-b…

"First trucks carrying the COVID-19 vaccine in the US have left the Pfizer facility" x.com/i/events/13381…

Katie Walz, RN, in the cardiovascular ICU at UC Medical Center, was our first recipient of the COVID-19 vaccine. We are administering our first vaccines to staff on the frontlines of COVID-19 to help keep them safe so they can continue to provide world-class care.

We couldn’t be more excited to present the Duke EM Class of 2025! Welcome to the Duke EM family. We are thrilled for your arrival! Duke Surgery Duke University School of Medicine Duke GME #Match2022 #EMbound